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SANFORD MEDICAL CENTER

Family Medicine·SIOUX FALLS, SD·NPI: 1093090342Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $69.1M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$69.1M

$69,055,367

Total Claims

1.5M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$4.9M
+17%
2019
$5.7M
+3%
2020
$5.8M
+83%
2021
$10.7M
+8%
2022
$11.6M
+21%
2023
$14.1M
+15%
2024
$16.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 15% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$10.6M

276K claims · 15.3%

Your Cost: $38.36/claim|Median: $37.81
1.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$7.2M

137K claims · 10.4%

Your Cost: $52.43/claim|Median: $53.41
1.0× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$3.2M

2,396 claims · 4.7%

Your Cost: $1,348.03/claim|Median: $1,482.45
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.6M

23K claims · 3.8%

Your Cost: $113.32/claim|Median: $85.65
1.3× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1.9M

25K claims · 2.8%

Your Cost: $77.25/claim|Median: $84.03
0.9× median
99284Normal range

Emergency dept visit, high complexity

$1.9M

23K claims · 2.7%

Your Cost: $81.18/claim|Median: $69.51
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.9M

48K claims · 2.7%

Your Cost: $38.94/claim|Median: $23.99
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$1.7M

20K claims · 2.4%

Your Cost: $81.36/claim|Median: $74.09
1.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.7M

30K claims · 2.4%

Your Cost: $55.16/claim|Median: $57.85
1.0× median
99469Top 25%

Subsequent intensive care, very low birth weight infant

$1.6M

3,982 claims · 2.3%

Your Cost: $403.44/claim|Median: $293.45
1.4× median
99480Top 5%

Subsequent intensive care, very low birth weight infant

$1.5M

8,344 claims · 2.2%

Your Cost: $183.55/claim|Median: $98.15
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

22K claims · 2.1%

Your Cost: $65.94/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

19K claims · 1.8%

Your Cost: $67.18/claim|Median: $75.18
0.9× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.2M

32K claims · 1.7%

Your Cost: $36.74/claim|Median: $17.85
2.1× median
99291Top 25%

Critical care, first 30-74 minutes

$1.0M

7,029 claims · 1.5%

Your Cost: $146.60/claim|Median: $101.24
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$999K

13K claims · 1.4%

Your Cost: $79.04/claim|Median: $85.66
0.9× median
W0037Normal range

$975K

68K claims · 1.4%

Your Cost: $14.37/claim|Median: $3.00
4.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$960K

14K claims · 1.4%

Your Cost: $68.20/claim|Median: $74.82
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$823K

12K claims · 1.2%

Your Cost: $69.15/claim|Median: $51.25
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$810K

14K claims · 1.2%

Your Cost: $56.21/claim|Median: $35.30
1.6× median
99472Top 25%

Subsequent pediatric critical care, per day, age 2-5

$726K

1,815 claims · 1.1%

Your Cost: $400.21/claim|Median: $307.98
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$643K

6,176 claims · 0.9%

Your Cost: $104.11/claim|Median: $111.09
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$630K

18K claims · 0.9%

Your Cost: $35.62/claim|Median: $58.55
0.6× median
59510Normal range

$627K

421 claims · 0.9%

Your Cost: $1,489.58/claim|Median: $1,543.20
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$621K

9,077 claims · 0.9%

Your Cost: $68.45/claim|Median: $80.15
0.9× median
99479Top 10%

Subsequent intensive care, 2,501-5,000 grams

$584K

4,229 claims · 0.8%

Your Cost: $138.17/claim|Median: $103.70
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$544K

11K claims · 0.8%

Your Cost: $48.86/claim|Median: $54.68
0.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$529K

9,886 claims · 0.8%

Your Cost: $53.53/claim|Median: $37.22
1.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$528K

13K claims · 0.8%

Your Cost: $42.21/claim|Median: $49.45
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$500K

9,354 claims · 0.7%

Your Cost: $53.51/claim|Median: $42.48
1.3× median
99254Top 25%

$481K

3,678 claims · 0.7%

Your Cost: $130.76/claim|Median: $81.43
1.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$481K

5,026 claims · 0.7%

Your Cost: $95.67/claim|Median: $106.79
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$415K

4,751 claims · 0.6%

Your Cost: $87.39/claim|Median: $67.32
1.3× median
99468Normal range

$396K

515 claims · 0.6%

Your Cost: $768.02/claim|Median: $679.18
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$382K

2,481 claims · 0.6%

Your Cost: $154.14/claim|Median: $151.68
1.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$356K

425 claims · 0.5%

Your Cost: $838.23/claim|Median: $786.43
1.1× median
99417Top 25%

$356K

5,543 claims · 0.5%

Your Cost: $64.16/claim|Median: $34.90
1.8× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$346K

34K claims · 0.5%

Your Cost: $10.17/claim|Median: $9.80
1.0× median
69436Normal range

Tympanostomy, general anesthesia

$328K

1,431 claims · 0.5%

Your Cost: $228.99/claim|Median: $205.50
1.1× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$324K

4,058 claims · 0.5%

Your Cost: $79.85/claim|Median: $62.48
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$299K

5,670 claims · 0.4%

Your Cost: $52.70/claim|Median: $63.65
0.8× median
01922Normal range

$296K

1,426 claims · 0.4%

Your Cost: $207.65/claim|Median: $166.77
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$296K

4,733 claims · 0.4%

Your Cost: $62.49/claim|Median: $72.71
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$290K

3,659 claims · 0.4%

Your Cost: $79.31/claim|Median: $99.21
0.8× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$290K

5,211 claims · 0.4%

Your Cost: $55.68/claim|Median: $74.78
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$280K

7,134 claims · 0.4%

Your Cost: $39.31/claim|Median: $47.65
0.8× median
00170Normal range

Anesthesia for intraoral procedures

$280K

1,965 claims · 0.4%

Your Cost: $142.42/claim|Median: $132.89
1.1× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$280K

2,286 claims · 0.4%

Your Cost: $122.27/claim|Median: $121.58
1.0× median
54150Top 25%

$269K

2,002 claims · 0.4%

Your Cost: $134.33/claim|Median: $84.60
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$255K

10K claims · 0.4%

Your Cost: $24.32/claim|Median: $25.06
1.0× median

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